About Us
Unmatched Focus
We are focused solely on the rural healthcare community. No other risk management or insurance agency focuses 100% on rural healthcare. Our insight fuels a passion for finding ways to deliver service and value that others won’t and can’t.
Our Purpose
Because we believe people living in rural communities deserve the best possible health care, our purpose is to ensure the people, services, and facilities they depend upon are protected from risk and empowered to thrive.
Our motto, “Never Go It Alone”, describes our commitment to encouraging and facilitating collaboration among rural healthcare leaders who share our purpose.
Core Values
- Do what you say you are going to do
- Respect yourself and one another
- Seek first to understand then to improve
- Earn and give trust
- Serve with a servant's heart
Meet Our Team
Brant Couch, CPA, CIC
Managing Partner
Brant leads business development, programs, and strategic account management in the Austin Office. Their office is one of the largest specialized insurance brokerage and consulting groups in the US, serving over 130 hospitals. For over twenty years, he has worked closely with healthcare clients and essential groups such as the Texas Organization of Rural and Community Hospitals (TORCH), the Texas Hospital Association (THA), and the National Rural Health Association (NRHA) to develop new and better ways to ensure the success of healthcare providers. He specializes in building captive and group purchasing programs to drive economic efficiencies for all types of hospitals across the country.
Frequently published and a popular speaker, Brant previously served as a recognized business development leader and auditor at Ernst & Young for eight years, specializing in working with healthcare and emerging growth companies nationwide. Prior to that, he held several positions with Central Texas Medical Center and the Texas State Senate. He holds a BBA in Accounting from Texas State University, is a CPA, and a member of the American Institute of Certified Public Accountants. Brant serves on the Dell Seton Medical Center Community Leadership Council, whose mission is to change healthcare and the economic future of Central Texas. He recently served on the advisory board of Concordia University's Healthcare Administration Program.
Jennifer Fudge, RPLU
Senior Partner
Jennifer has spent most of her life in the insurance business; you could say it runs in the family, as she is a third-generation insurance agent. Jennifer started her career with Hobbs Group, specializing in large construction accounts. She then spent 14 years with Independent Insurance Agents of Texas, managing their professional liability division. After IIAT, Jennifer joined the HealthSure team in 2013. Jennifer is a graduate of the University of Texas at Austin with a degree in finance. She also has her Registered Professional Liability Underwriter (RPLU) designation. Jennifer has been a speaker on both professional liability topics and organizational management. Jennifer has also written articles on new professional liability products and market trends.
Krista Adamson, CIC, CISR
Property & Casualty Team Lead
Krista leads the P&C service team in serving the unique and evolving needs of our healthcare clients. She has more than 15 years of experience in commercial lines insurance and customer service. Krista is committed to delivering exceptional client experience through leadership, relationships, and creativity. As your insurance and risk management advocate, she is skilled in developing and delivering innovative solutions to exceed the expectations of hospital and physician group leaders. Krista has attained professional designations as a Certified Insurance Service Representative (CISR) and a Certified Insurance Counselor (CIC).
Jessica Martinez, NA
Employee Benefits Team Lead
With over 20 years of experience in Employee Benefits, Jessica specializes in strategic account management, business development, risk management, and client relations. She delivers tailored healthcare solutions that enhance talent acquisition and retention while ensuring compliance with complex healthcare regulations.
Passionate about holistic wellness, Jessica integrates mental, physical, and financial well-being into benefits programs to deliver value to clients and their workforces. Her collaborative approach with internal and external stakeholders ensures superior outcomes and long-term success.
EXPERT EDUCATION
Events and Webinars
Employee Benefits
GLP-1s at Scale: Why Weight-Loss Drug Decisions Are Now a Financial Strategy
A GLP-1 decision framework plus scenarios.
July 21, 2026 at 01:00 pm CT | Virtual
Register Here
Employee Benefits
Open Enrollment That Works: Why Employees Do Not Engage — and How Modern Communications Drive Better Choices
Practical communication strategies to strengthen open enrollment effectiveness and employee decision-making.
August 18, 2026 at 01:00 pm CT | Virtual
Register Here
Employee Benefits
The Compliance Pathway Q3
Don't miss this ongoing opportunity to ensure you comply with current regulations and are prepared for what's ahead.
September 2, 2026 at 01:00 pm CT | Virtual
Register Here
THOUGHT LEADERSHIP
Insights
Employee Benefits
Legal Alert: Clients With Massachusetts Private PFML Plans Renewing After July 1, 2026
Alert for any employer with at least one employee in Massachusetts, even if the employee is remote.
June 30, 2026
Find out more
Employee Benefits
Legal Alert: PCORI Fees Due By July 31, 2026
This alert is of interest to all employers that sponsor self-insured group health plans, including Health Reimbursement Arrangements (HRAs). Note that the PCORI fee does not apply to most health FSAs.
June 29, 2026
Find out more Employee Benefits
What the 2026 Benchmarking Data Reveals — and Why It Matters Now
On Tuesday, June 16, 2026, at 2:00 PM ET, Alera Group will host Benchmarking That Drives Decisions: Why Averages Mislead — and What Best-in-Class Data Reveals, a live webinar designed for HR, finance and executive leaders involved in benefits planning, budgeting and long-term strategy.
June 11, 2026
Find out more Employee Benefits
Legal Alert: IRS Releases 2027 HSA Contribution Limits and Other Limits
In Rev. Proc. 2026-24, the IRS released the inflation adjusted amounts for 2027 relevant to Health Savings Accounts (HSAs) and high deductible health plans (HDHPs). The table below summarizes those adjustments and other applicable limits.
June 3, 2026
Find out more